Traditional Vasectomy
During a conventional vasectomy, one or two half inch scrotal incisions are made to gain access to the tubes. These incisions are later closed with sutures, which remain in place for about 5 days until they dissolve or are removed. An anesthetic solution can be injected with a tiny needle to numb the scrotal skin and the vas tubes, or a pressure spray applicator can be used to numb the skin and vas tubes without using any needles.

Scalpel Free Vasectomy
The scalpel free vasectomy is an incisionless approach and is performed in the office in about 10 minutes. A surgical clamp is used to hold the vas deferens while a puncture incision, instead of a cut, is made with special forceps. The forceps then are opened to stretch the skin, making a small hole through which the vas deferens is lifted out, cut, sutured or cauterized, and put back in place. At Premier Medical Group Urology Division we recommend the no-scalpel method because we find it is quicker and minimizes post-operative discomfort and the risk of bleeding and infection.

Preparation

• Wash your scrotum well and shave the underside of the penis and the front wall of the scrotum, preferably a day before the procedure.
• Use no powder or deodorant in the genital area on the day of your procedure.
• Bring an athletic supporter or tight underwear with you.
• Arrange to have someone drive you home
• Plan to do nothing but recline at home (sofa or bed) on the day of vasectomy.
• Do not take aspirin or anti-inflammatory drugs such as ibuprofen for 2 weeks prior to procedure.
• Do eat a normal breakfast to avoid getting light-headed.